Healthcare Benefits Claims Examiner

Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)

Health Benefits Claims Examiner at Cobalt Benefits Group offering customized employee benefit solutions. Responsible for claims adjudication and member service in health insurance operations.

Posted 6/26/2026full-timeHouston • Texas • 🇺🇸 United StatesJunior💰 $21 - $22 per hourWebsite

About the role

Key responsibilities & impact

Ensure accuracy of claims adjudication while maintaining quality and turn around goals.
Adjudicate medical, dental and vision claims.
Review plan documents for various groups to apply appropriate benefits to claims being adjudicated.
Prioritize assigned claims by adjudicating oldest claims first.
Communicate effectively with internal auditors and management team.
Perform other related duties, as assigned.

Requirements

What you’ll need

At least 6 months prior experience in the healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support.
Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired.
Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency.
Strong interpersonal skills with excellent verbal and written communication skills.
Keyboard and Windows skills are a must.
Ability to work using Excel spreadsheets.
Eager to learn the TPA industry and new concepts and processes.
Blue Care experience and medical coding and terminology a plus.

Benefits

Comp & perks

Website
LinkedIn
All Job Openings
51 - 200 employees
Who We Are:

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims adjudicationhealth care billingmedical codingmedical terminologyprovider maintenancebillingcodingcustomer supportExcel

Soft Skills

time-managementprioritizationinterpersonal skillsverbal communicationwritten communicationsense of urgencyeagerness to learn